| NPI | 1780714253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 127418) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 45529) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-11-02 |