| NPI | 1194765891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 40177) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY TP426) |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: KY 40177) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-05-04 |