| NPI | 1366823171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 71631) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R10407) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2022-08-19 |