| NPI | 1629365689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 20144037732) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 20144037732) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2015-12-09 |