| NPI | 1144225590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 53208) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 34482) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2015-08-27 |