| NPI | 1104385038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME153463) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2022032274) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-09-28 |