| NPI | 1932295300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY C3338) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD29112) |
| 207P00000X Emergency Medicine (Licence: LA 021866) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2025-03-11 |