| NPI | 1649616723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME127172) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 192111) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2016-06-30 |