| NPI | 1598855009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101238336) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 25496) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-07-08 |