| NPI | 1053605584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101260407) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME117790) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2016-08-23 |