| NPI | 1245692524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 75454) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 16302A) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-05-29 |