| NPI | 1699035162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0082937) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 328698) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2021-09-23 |