| NPI | 1700269685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS15853) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL UO4468) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2021-11-15 |