| NPI | 1700339280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 71192-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 65571) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2019-09-05 |