| NPI | 1760611313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M14624) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301094732) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2019-04-03 |