| NPI | 1578982393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME134229) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 100772) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-07-06 |