| NPI | 1619325610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2019-00817) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 008292) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-08-22 |