| NPI | 1861768574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 40713) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 77867) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2025-11-24 |