| NPI | 1043474372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 049542) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 21196) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2021-11-11 |