| NPI | 1194833277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 15306) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 37706) |
| 207P00000X Emergency Medicine (Licence: NY 242918) | |
| 207P00000X Emergency Medicine (Licence: NE 26129) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2021-05-06 |