| NPI | 1891748315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: UT 341513) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU EMTL-2020-001) |
| 207P00000X Emergency Medicine (Licence: GU MTL-2018-027) | |
| 207P00000X Emergency Medicine (Licence: GU M-2221) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-04-09 |