| NPI | 1487060356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TX R3608) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R3608) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2021-05-27 |