| NPI | 1659585040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 32130) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 001854) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-09-29 |