| NPI | 1407895402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 77892) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 0082746) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-06-20 |