| NPI | 1164800710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 209597) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2019013179) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2021-08-11 |