| NPI | 1033156773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GU M-2240) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 085170) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2021-04-09 |