| NPI | 1336568179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0061054) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 65860-20) |
| 207P00000X Emergency Medicine (Licence: HI MD-19129) | |
| 207P00000X Emergency Medicine (Licence: TX S6180) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-08-02 |