| NPI | 1720541659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 336999) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2022-00821) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-08-15 |