| NPI | 1134108392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 16665) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 16665) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2013-02-26 |