| NPI | 1922441302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 54151) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 143061) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2017-07-19 |