| NPI | 1780079079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME134707) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 0000000) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2018-08-27 |