| NPI | 1689883134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 231364) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX U7592) |
| 207P00000X Emergency Medicine (Licence: OH 35.149487) | |
| 207P00000X Emergency Medicine (Licence: IL 036167670) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-12-05 |