| NPI | 1942863782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2022-00669) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R3119) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2024-02-20 |