| NPI | 1649374208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2011012786) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 34643-20) |
| 207P00000X Emergency Medicine (Licence: MS 28444) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2021-05-27 |