| NPI | 1578874004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A13896) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 273963) |
| 207P00000X Emergency Medicine (Licence: MI 5101018843) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-12-01 |