| NPI | 1932337698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME147104) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.43283) |
| 363A00000X Physician Assistant (Licence: MD C0002070) | |
| 207P00000X Emergency Medicine (Licence: FL TRN27354) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2022-11-30 |