| NPI | 1679008460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO214960) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151013596) |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2023-06-29 |