| NPI | 1376803759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 080888) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD043979) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2019-09-12 |