| NPI | 1669962312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2021-00552) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL52346) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2022-04-29 |