| NPI | 1225265366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2013-01261) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 45421) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2024-03-06 |