| NPI | 1235458837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME114589) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 15185) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2021-12-15 |