| NPI | 1538435870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2016018220) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 0544147) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2021-01-19 |