| NPI | 1629489844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 310655) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 260588) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2018-10-30 |