| NPI | 1033789904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 83553) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2021031126) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-07-23 |