| NPI | 1720372212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME DO2890) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NH 16535) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2023-03-07 |