| NPI | 1710547856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 90856) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 202201065) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2023-09-25 |