| NPI | 1356395735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0075762) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 053875) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-11-03 |