| NPI | 1659564318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.45255) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME107349) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2022-12-07 |