| NPI | 1407260821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 30060) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101268240) |
| 207P00000X Emergency Medicine (Licence: SC LL37127) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2021-07-09 |