| NPI | 1336378462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-8163) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA pgy201104) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2022-03-22 |