| NPI | 1205320942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME158791) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 328763) |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2023-02-07 |