| NPI | 1689836389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO183980) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101016330) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-10-27 |