| NPI | 1699904185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 068777) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R71683) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2016-03-02 |