| NPI | 1760893929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101020928) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI L822789) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2022-11-16 |