| NPI | 1225079015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 19385) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101265932) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2021-09-08 |