| NPI | 1538147665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 104271) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 35509) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2021-02-03 |