| NPI | 1811428634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2020017626) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 207P00000X) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-10-09 |