| NPI | 1003133836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME115191) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN14665) |
| 207P00000X Emergency Medicine (Licence: GA 68466) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2015-06-18 |