| NPI | 1740416635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-42852) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 56590) |
| 207P00000X Emergency Medicine (Licence: WI 61046-20) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2018-03-19 |