| NPI | 1932174513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 869) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR 42658) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-01-10 |