| NPI | 1376719286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 46404) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 207P00000X) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2011-07-20 |