| NPI | 1114030012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 29809) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 103341) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-08-09 |