| NPI | 1194174318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 59139) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 23751) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-01-15 |