| NPI | 1750901153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 59205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2022-00035) |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2024-06-25 |