| NPI | 1972166098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 200715) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2022-0180) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2023-09-25 |