| NPI | 1972860377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 41618) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-9405) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2023-08-03 |