| NPI | 1366976102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0069735) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 85974) |
| 207P00000X Emergency Medicine (Licence: TX S2483) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-05-31 |