| NPI | 1285846253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 40718) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 16957) |
| 207P00000X Emergency Medicine (Licence: WV 23558) | |
| 207P00000X Emergency Medicine (Licence: VT 0420011843) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-07-21 |