| NPI | 1609018316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 51593) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35C.000803) |
| 207P00000X Emergency Medicine (Licence: WA MD60225378) | |
| 207P00000X Emergency Medicine (Licence: IL 125053557) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2024-07-10 |