| NPI | 1306988589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 26778) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ND 14408) |
| 207P00000X Emergency Medicine (Licence: TN 0000047059) | |
| 207P00000X Emergency Medicine (Licence: OH 35063715) | |
| 207P00000X Emergency Medicine (Licence: VA 0101051345) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-04-20 |