| NPI | 1104387505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-51417) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 87216) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-09-01 |