| NPI | 1962995746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 86520) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 010012) |
| 207P00000X Emergency Medicine (Licence: FL 86520) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2021-06-10 |