| NPI | 1275740789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101243011) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2007-00169) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2011-09-26 |