| NPI | 1760975114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 22718) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 22178) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-08-01 |