| NPI | 1861785313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME121954) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.207529) |
| 207P00000X Emergency Medicine (Licence: VA 0101253157) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2021-07-05 |