| NPI | 1831175462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD 60131801) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 25889) |
| 207P00000X Emergency Medicine (Licence: OR MD27043) | |
| 207P00000X Emergency Medicine (Licence: IN 01067726B) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2022-07-21 |