| NPI | 1871706796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101016572) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 5433) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-02-27 |