| NPI | 1356662670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2049-0999) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 54129) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2023-11-29 |