| NPI | 1548400682 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO179860) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU DO-0068) | 
| 207P00000X Emergency Medicine (Licence: IN 02003612A) | |
| Enumeration Date | 2009-03-03 | 
| Last Update Date | 2017-06-02 |