| NPI | 1639580228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 51357) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 201742) |
| 207P00000X Emergency Medicine (Licence: MA 283633) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2022-08-15 |