| NPI | 1689917171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A148310) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 55279) |
| 207P00000X Emergency Medicine (Licence: MI 4301103520) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-07-21 |