| NPI | 1144980418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 5015556) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NC 287174) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2022-01-03 |