| NPI | 1639278765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101240202) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 054681) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-07-07 |