| NPI | 1457694218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 17659) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2019-0234) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2019-06-04 |