| NPI | 1396164141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 78004) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 27038) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2025-01-01 |