| NPI | 1043300270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2013026520) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 0431238) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-08-14 |