| NPI | 1164868386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME128228) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10193100) |
| 207P00000X Emergency Medicine (Licence: GA 076598) | |
| 207P00000X Emergency Medicine (Licence: MI 4301106042) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2017-10-19 |