| NPI | 1912427576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 3440) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2020-02589) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-06-04 |