| NPI | 1427103316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 41699) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R1149) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2017-04-04 |