| NPI | 1649436122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.30381) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: AL MD30381) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2019-12-09 |