| NPI | 1487837027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2022-01954) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 261802) |
| 207P00000X Emergency Medicine (Licence: IL 036-140264) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2024-01-15 |