| NPI | 1528370863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD 9601) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 49721) |
| 207P00000X Emergency Medicine (Licence: MI 4301097120) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2019-10-03 |