| NPI | 1003103193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2013010740) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA os016490) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2015-07-16 |