| NPI | 1578610937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 204110) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 14631) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2021-09-02 |