| NPI | 1013143999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA DO-04179) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-8630) |
| 207P00000X Emergency Medicine (Licence: IA 4179) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2023-02-24 |