| NPI | 1639114697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 056351) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 21926) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-05-26 |