| NPI | 1972809671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2011-00239) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 076190) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2016-06-22 |