| NPI | 1376755330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI DOS-1820) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101016537) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-03-11 |