| NPI | 1740258391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME66057) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 60151) |
| 207P00000X Emergency Medicine (Licence: NY 189779) | |
| 207P00000X Emergency Medicine (Licence: TX M7821) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2012-02-26 |