| NPI | 1174813018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 206008) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 23119) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2019-09-13 |