| NPI | 1962992131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0091823) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 30398) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2021-06-25 |