| NPI | 1548554124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL UO2704) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 068772) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2017-07-24 |