| NPI | 1740517499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GU M-2290) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU MTL-2021-005) |
| 207P00000X Emergency Medicine (Licence: KY 51998) | |
| 207P00000X Emergency Medicine (Licence: VA 0101251387) | |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2022-01-31 |