| NPI | 1336439405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 9101828-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 50644) |
| 207PS0010X Emergency Medicine Sports Medicine (Licence: UT 9101828-1205) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2015-10-05 |