| NPI | 1467612556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 69989) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N6722) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2013-08-15 |