| NPI | 1609878693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 34762) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 12548) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2015-06-14 |