| NPI | 1245466606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 4147) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-8657) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2012-09-21 |