| NPI | 1831630144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 321170) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 30354) |
| 207P00000X Emergency Medicine (Licence: LA 321170) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: LA 321170) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-04-13 |