| NPI | 1861602468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D70864) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C7-0003723) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-12-08 |