| NPI | 1598012775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 52712) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME113607) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2015-09-25 |