| NPI | 1679551824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.206587) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 216391) |
| Enumeration Date | 2006-01-07 |
| Last Update Date | 2014-07-08 |