| NPI | 1821265174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.00141404) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 253949) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-04-20 |