| NPI | 1699016204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO CDR.0000164) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-143483) |
| 207P00000X Emergency Medicine (Licence: OH 34.012842) | |
| 207P00000X Emergency Medicine (Licence: WI 65926-21) | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2021-05-04 |