| NPI | 1568721710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL TRN17252) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0083557) |
| 207P00000X Emergency Medicine (Licence: DC MD045420) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2021-10-05 |