| NPI | 1124231097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2013-02008) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH training certificate) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2016-11-28 |