| NPI | 1568993871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 54065) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R4467) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-06-17 |