| NPI | 1376718650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202K00000X (Licence: WI 53598) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 53598) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2023-01-24 |