| NPI | 1639600232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0014745) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 303862) |
| 207P00000X Emergency Medicine (Licence: UT 10957064-1205) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2020-07-13 |