| NPI | 1700012853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 072101) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101249926) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2014-08-28 |