| NPI | 1215452495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 22110) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2020-03965) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-08-02 |