| NPI | 1245588060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2013013918) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 24917) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2013-09-11 |