| NPI | 1871787804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR 164407) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 42586) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2022-11-01 |