| NPI | 1417450016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101267381) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2024-06-30 |