| NPI | 1972965754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2019-00629) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101272199) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-01-17 |