| NPI | 1336375724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-13139) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 273529) |
| 207P00000X Emergency Medicine (Licence: TX P6690) | |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2021-06-29 |