| NPI | 1588907620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS12548) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL UO2797) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2015-06-09 |