| NPI | 1164950671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY C2671) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R76298) |
| Enumeration Date | 2017-05-28 |
| Last Update Date | 2024-07-18 |