| NPI | 1548654759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101274280) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 305539) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2022-04-08 |