| NPI | 1164710950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2013-02329) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101256064) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2024-02-27 |