| NPI | 1790976348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 46672) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 42404) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2016-06-20 |