| NPI | 1225215536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 2419) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 002187) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2012-10-30 |