| NPI | 1154404309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 98-01211) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 20071) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-01-09 |