| NPI | 1114128923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 20075) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME103334) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-03-23 |