| NPI | 1780665349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101054143) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD 0053257) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |