| NPI | 1598150971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 81628) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 137862) |
| 207P00000X Emergency Medicine (Licence: CA 152701) | |
| 207P00000X Emergency Medicine (Licence: TX R5546) | |
| 207P00000X Emergency Medicine (Licence: NM Md2020-0193) | |
| 207P00000X Emergency Medicine (Licence: GA 078594) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-12-04 |