| NPI | 1255535571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0066021) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD432545) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2012-06-08 |