| NPI | 1982220968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 1015097) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT219882) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-07-10 |