| NPI | 1417063678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 042534) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 042534) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-06-22 |