| NPI | 1629495007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD44622) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0087621) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2019-07-03 |