| NPI | 1265879142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD176893) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 9408196) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2016-07-07 |