| NPI | 1891374534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 332101) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD61584169) |
| 207P00000X Emergency Medicine (Licence: OK 44124) | |
| 207P00000X Emergency Medicine (Licence: IN 01094369A) | |
| 207P00000X Emergency Medicine (Licence: IA MD-53597) | |
| 207P00000X Emergency Medicine (Licence: CA A198425) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-09-08 |