| NPI | 1154733582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101266493) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 28928) |
| 207P00000X Emergency Medicine (Licence: TX S4757) | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2021-01-08 |