| NPI | 1801820121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 14229R) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 54610) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-04-08 |