| NPI | 1801021548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME112260) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN13885) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2012-08-14 |