| NPI | 1699271924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD204018) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 309105-01) |
| 207P00000X Emergency Medicine (Licence: NC 2021-00960) | |
| 207P00000X Emergency Medicine (Licence: WA MD61156179) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2022-04-29 |