| NPI | 1396892196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 40060) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 59443) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-08-15 |