| NPI | 1619276391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD179663) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 36751) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2016-12-28 |