| NPI | 1104813914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.23593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.23593) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2012-06-11 |