| NPI | 1568036481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO219181) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL83611) |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2024-09-25 |