| NPI | 1629464920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 61698) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN0021655) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-12-23 |