| NPI | 1730136755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 32511) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 25204) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-05-06 |