| NPI | 1588922900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 266934) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 251938) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2020-11-19 |