| NPI | 1912965922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 16681) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200500097) |
| 207P00000X Emergency Medicine (Licence: WA MD00039178) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-03-21 |