| NPI | 1578911228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 75827) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-45412) |
| 207P00000X Emergency Medicine (Licence: NE 31824) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IA R-10514) | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2021-11-22 |