| NPI | 1891108429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 68126) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 82226) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-01-04 |