| NPI | 1881936318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 82160) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2016-01571) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2020-03-26 |