| NPI | 1619956414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 24099) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME50814) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2013-03-28 |