| NPI | 1932503141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 22018) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 141857) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2021-05-26 |