| NPI | 1558367995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD14059) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 15280) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2021-04-06 |