| NPI | 1588856769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.202192) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA PGY2.NOEMR) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2015-01-13 |