| NPI | 1073717732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 66615) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2009-01513) |
| 207P00000X Emergency Medicine (Licence: NV 14045) | |
| 207P00000X Emergency Medicine (Licence: FL ME132715) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-11-17 |