| NPI | 1093101875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 60501) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 66793) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2018-06-06 |