| NPI | 1962063263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-112495) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2019022795) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2022-10-19 |