| NPI | 1235760745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101274240) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA ML61098609) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2024-03-10 |