| NPI | 1588688675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 39917) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 53456) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-06-29 |