| NPI | 1215296561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 50088) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY TL3003) |
| 207P00000X Emergency Medicine (Licence: MN 62380) | |
| 207P00000X Emergency Medicine (Licence: UT 9353662-1205) | |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2021-11-11 |