| NPI | 1679130520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: WI 81666-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP04593) |
| 207P00000X Emergency Medicine (Licence: WI 81666-20) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-10-24 |