| NPI | 1124282454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 43226) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA 190744) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-10-19 |