| NPI | 1437679529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101023188) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5315085299) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |