| NPI | 1659683258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2865M2000X Military Hospital Military General Acute Care Hospital (Licence: VA 0101252249) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A137791) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2022-02-11 |