| NPI | 1154377950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 18580) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2014039432) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-12-20 |