| NPI | 1215562558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2024-01906) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 22990) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2024-07-31 |