| NPI | 1417341652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO190612) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 273910) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2019-08-23 |