| NPI | 1114008190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101246263) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 19988) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-01-13 |