| NPI | 1831404714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2016-01187) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101256196) |
| 207P00000X Emergency Medicine (Licence: IL 036131680) | |
| 207P00000X Emergency Medicine (Licence: TN 61418) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2023-05-19 |