| NPI | 1053805150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2022017760) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 85571) |
| 207P00000X Emergency Medicine (Licence: MO 2018021051) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-11-10 |