| NPI | 1861710915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101256026) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME139052) |
| 207P00000X Emergency Medicine (Licence: AR E-12222) | |
| 207P00000X Emergency Medicine (Licence: NC 2019-01015) | |
| 207P00000X Emergency Medicine (Licence: CA C161972) | |
| 207P00000X Emergency Medicine (Licence: PA MD446912) | |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2019-10-22 |