| NPI | 1689052169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 80088) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2017-02255) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2018-08-01 |