| NPI | 1558536987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD47470) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 64490) |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2021-12-16 |