| NPI | 1316980931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 19312) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.027130) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-12-17 |