| NPI | 1619263605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2014-00924) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 4785) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2021-06-25 |