| NPI | 1568672954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 38918) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2009-01261) |
| 207P00000X Emergency Medicine (Licence: MI 4301088392) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-05-25 |