| NPI | 1073748166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 45520) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL TRN13698) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2023-04-13 |