| NPI | 1538102496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2006-00972) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 22181) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-01-23 |