| NPI | 1356338008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM 2000-316) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 5130) |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2024-11-21 |