| NPI | 1588911614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME 122296) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD177893) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2023-09-20 |