| NPI | 1609847706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 200301354) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME69319) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2024-07-29 |