| NPI | 1598055642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 27400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101256435) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2017-05-16 |