| NPI | 1174570865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 224252) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 55273) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2018-03-02 |