| NPI | 1457842882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME158647) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 75004-20) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-02-07 |