| NPI | 1730178955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 05405) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS8584) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-05-04 |