| NPI | 1184005829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2020-03477) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA 208794) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2021-10-15 |