| NPI | 1730507500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD193112) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD193112) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-09-12 |