| NPI | 1720284383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 1475) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT011960) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2011-12-01 |