| NPI | 1033318670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 51455) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2009-01383) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2022-01-25 |