| NPI | 1134740384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102208653) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT019826) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-08-02 |