| NPI | 1205883949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY TP747) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 0000026604) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2019-10-04 |