| NPI | 1013578731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 83573) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 83573) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-06-03 |