| NPI | 1750646550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME129079) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 81907) |
| 207P00000X Emergency Medicine (Licence: IL 125-062547) | |
| 207P00000X Emergency Medicine (Licence: VA 0101270365) | |
| 207P00000X Emergency Medicine (Licence: GA 76558) | |
| 208600000X Surgery (Licence: MI 4301101551) | |
| Enumeration Date | 2012-07-08 |
| Last Update Date | 2024-03-15 |