| NPI | 1376505933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 46111) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 46111-020) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2019-02-05 |