| NPI | 1639708712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 1018692) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY TP649) |
| 207P00000X Emergency Medicine (Licence: KY R5417) | |
| 207P00000X Emergency Medicine (Licence: KY 58418) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-04-23 |