| NPI | 1407016900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-35269) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 139062) |
| 207P00000X Emergency Medicine (Licence: NE 28598) | |
| 207P00000X Emergency Medicine (Licence: TX Q1042) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 251091) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-11-22 |