| NPI | 1639581739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME129689) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN19937) |
| 207P00000X Emergency Medicine (Licence: MS 25042) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2019-12-26 |