| NPI | 1376594598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2018-02670) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 29633) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-02-15 |