| NPI | 1144634148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2018015768) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2018-07-13 |