| NPI | 1962764712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 21610) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI MD-18142) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2022-07-29 |