| NPI | 1922055920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 42215) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 40230) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2024-07-23 |