| NPI | 1881086502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A19110) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102204591) |
| 207P00000X Emergency Medicine (Licence: GU DO-094) | |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2022-04-15 |