| NPI | 1679757561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME102712) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 001565) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2022-09-07 |