| NPI | 1629525571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 152184) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 22399) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-05-09 |