| NPI | 1558625129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2018-0054) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301101259) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2018-02-26 |