| NPI | 1013259613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 73109) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD0000057098) |
| 207P00000X Emergency Medicine (Licence: MI 4301102671) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2020-07-31 |