| NPI | 1659953776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 221928) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 31810) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-07-15 |