| NPI | 1588956056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0076315) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME154764) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2022-06-01 |