| NPI | 1932528122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 51626) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD459841) |
| 207P00000X Emergency Medicine (Licence: GA 82796) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2019-07-01 |