| NPI | 1689902660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 75797) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 67247) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2023-03-06 |