| NPI | 1821128018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD184103) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M9909) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2017-09-08 |