| NPI | 1821400961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 201685) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 40437) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2020-12-29 |