| NPI | 1952821605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101023510) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102206526) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2021-10-21 |