| NPI | 1154373751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME98283) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 31576) |
| 207P00000X Emergency Medicine (Licence: VA 0101056391) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-05-17 |