| NPI | 1578724142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME110207) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2010-1253) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2018-08-24 |