| NPI | 1164473872 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: DC 19159) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101045882) | 
| 207P00000X Emergency Medicine (Licence: DC 19159) | |
| 207P00000X Emergency Medicine (Licence: MD D42399) | |
| Enumeration Date | 2006-05-15 | 
| Last Update Date | 2021-10-13 |