| NPI | 1740490200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301088600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 72214) |
| 207P00000X Emergency Medicine (Licence: NM MD2011-0109) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV 13667) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-03-13 |