| NPI | 1326501313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 65820) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R77238) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2022-07-29 |