| NPI | 1619358926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2018-01533) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2015017262) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-12-13 |