| NPI | 1639460900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME127054) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 207054) |
| 207P00000X Emergency Medicine (Licence: NM MD2016-0697) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2021-06-16 |