| NPI | 1154496982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 217591) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 12536) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-08-10 |