| NPI | 1376986794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND 14167) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 311266) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2019-03-28 |