| NPI | 1124315312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-44881) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 268286) |
| 207P00000X Emergency Medicine (Licence: CO DR.0057039) | |
| 207P00000X Emergency Medicine (Licence: OH 34.013878) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2022-08-15 |