| NPI | 1689762809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 39733) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 035452) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-08-12 |