| NPI | 1194959064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 1550) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC DO1550) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2020-12-04 |