| NPI | 1811924376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 58918) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD40600) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-03-22 |