| NPI | 1356787097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA DO-04785) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-9674) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2016-09-16 |