| NPI | 1932556560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME139967) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10057596) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2019-07-22 |