| NPI | 1568578870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD27496) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM PS2005-0480) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-10-08 |