| NPI | 1356769640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 26181) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 55784) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2018-12-17 |