| NPI | 1861888430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME136421) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 209545) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-03-14 |