| NPI | 1982051603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 312548) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 008229) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2024-04-15 |