| NPI | 1578827465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-44860) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 66067) |
| 207P00000X Emergency Medicine (Licence: GA RTP005630) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2020-10-13 |