| NPI | 1336185644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0050484) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 18245) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-04-07 |