| NPI | 1154582419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2015-02294) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 066470) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2016-10-08 |