| NPI | 1568726677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 75505) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 279979) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2022-02-11 |