| NPI | 1669650677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D73086) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101250140) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2017-09-27 |