| NPI | 1750802336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 328470) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2017020320) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2021-11-03 |