| NPI | 1528271418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A9027) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR DO190920) |
| 207P00000X Emergency Medicine (Licence: HI DOS-1953) | |
| 207P00000X Emergency Medicine (Licence: TX S0392) | |
| 207P00000X Emergency Medicine (Licence: NC 2019-00354) | |
| 207P00000X Emergency Medicine (Licence: AK 140093) | |
| 207P00000X Emergency Medicine (Licence: NM A226219) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-12-06 |