| NPI | 1437513066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME150586) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101267126) |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2023-06-12 |