| NPI | 1629218433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0057269) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.131972) |
| 207P00000X Emergency Medicine (Licence: VA 0101248931) | |
| 207P00000X Emergency Medicine (Licence: NY 250725) | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2019-10-05 |