| NPI | 1508194614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301111318) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD041313) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2021-12-16 |