| NPI | 1235717729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA R-12474) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML61165285) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2022-05-24 |