| NPI | 1518946706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME61616) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101252723) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2014-01-08 |