| NPI | 1659646024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 312425) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 53894) |
| Enumeration Date | 2012-03-17 |
| Last Update Date | 2019-07-31 |