| NPI | 1962449553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 200101024) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101244931) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-10-03 |