| NPI | 1588980973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 64290) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS 10886) |
| Enumeration Date | 2010-04-11 |
| Last Update Date | 2012-03-05 |