| NPI | 1356601926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 52119) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2013-02498) |
| 207P00000X Emergency Medicine (Licence: CA A135449) | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2018-11-29 |