| NPI | 1235354010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2011-01551) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 243796) |
| 207P00000X Emergency Medicine (Licence: RI MD13124) | |
| 207P00000X Emergency Medicine (Licence: SC MD36576) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2015-05-21 |