| NPI | 1770568479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: TX M0144) |
| Additional Taxonomies | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: TX M0144) |
| 207P00000X Emergency Medicine (Licence: TX M0144) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2022-12-05 |