| NPI | 1770043770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 74291) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 291276) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-08-15 |