| NPI | 1699908806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A39618) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: CA A39618) |
| 207PS0010X Emergency Medicine Sports Medicine (Licence: CA A39618) | |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2020-05-05 |