| NPI | 1467700419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY TP201) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R4588) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2020-07-23 |