| NPI | 1801940069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 60202) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME TD111055) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-05-11 |