| NPI | 1760611057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 68767) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP01821) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2018-07-27 |