| NPI | 1265407423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 48109) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 201100596) |
| 207P00000X Emergency Medicine (Licence: VA 0101234908) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2021-07-20 |