| NPI | 1952656183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 68500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 24178) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2022-05-02 |