| NPI | 1255521654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD202434) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA intern) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2010-02-09 |