| NPI | 1932604352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2021019474) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 94-09587) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2021-08-31 |