| NPI | 1205363660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101268940) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351031006) |
| 207P00000X Emergency Medicine (Licence: DC MD048245) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2020-06-25 |