| NPI | 1982750097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 36368) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2005-00786) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-08-24 |