| NPI | 1356365217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 025311) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 30949) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-04-26 |