| NPI | 1326175605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D75916) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301076899) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-06-01 |