| NPI | 1235795980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 92336) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 22260) |
| 207P00000X Emergency Medicine (Licence: PR 34105-R) | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-01-24 |