| NPI | 1164954509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D89334) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 0) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-05-03 |