| NPI | 1720510910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 87853) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 61026) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-04-20 |