| NPI | 1043429756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME140522) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD13829) |
| 207P00000X Emergency Medicine (Licence: GA 061606) | |
| 207P00000X Emergency Medicine (Licence: NC 2007-00734) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-04-06 |