| NPI | 1881684512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WY 7723A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101236694) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2021-11-22 |