| NPI | 1215203955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102204378) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019863) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2016-06-13 |