| NPI | 1104448513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 73581) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1014130) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2023-08-31 |