| NPI | 1174682207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 044631) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 36676) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2016-08-30 |