| NPI | 1932527884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 69524) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME132597) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2021-10-08 |