| NPI | 1659500338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: TN 57842) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 254798) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2022-03-21 |