| NPI | 1265630842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 23144) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101246070) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2014-07-10 |