| NPI | 1285097196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 57524) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 306802) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2021-12-20 |