| NPI | 1477579951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 83128-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 026727) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-02-08 |