| NPI | 1003877523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME103480) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0063078) |
| 207P00000X Emergency Medicine (Licence: TX M7412) | |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2023-01-13 |