| NPI | 1871538256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 200201013) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0063407) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2022-04-06 |