| NPI | 1699067132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 321104) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 62300) |
| 207P00000X Emergency Medicine (Licence: WI 60129-20) | |
| 207P00000X Emergency Medicine (Licence: IL 036.128889) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2023-06-12 |