| NPI | 1285926592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: LA 300290) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 300290) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2023-10-27 |