| NPI | 1619296001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 39028) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2012-01894) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2021-05-19 |