| NPI | 1174569495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0053661) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101232039) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-01-15 |