| NPI | 1619977659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60309654) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01039344) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2018-03-13 |