| NPI | 1619465119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2024-02788) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-13632) |
| 207P00000X Emergency Medicine (Licence: TN 60720) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2024-10-11 |