| NPI | 1215970488 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME67213)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD175666)  | 
| Enumeration Date | 2006-06-14 | 
| Last Update Date | 2017-02-09 |