| NPI | 1639412125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M13548) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 9662057-1205) |
| 207P00000X Emergency Medicine (Licence: WI 68799-20) | |
| 207P00000X Emergency Medicine (Licence: MO 2017034039) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-09-27 |