| NPI | 1922669738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 332883) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT217734) |
| Enumeration Date | 2019-06-23 |
| Last Update Date | 2022-12-19 |