| NPI | 1972797066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 18142) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI AG3096283204) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2023-11-27 |