| NPI | 1083900062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2015-00705) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 4769) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2024-01-23 |