| NPI | 1659555050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 062424) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 002247) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2012-09-11 |