| NPI | 1447742960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 62784) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R76982) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2021-06-01 |