| NPI | 1962081174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 25136) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 12985060-1205) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2024-02-29 |