| NPI | 1831301654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 001904) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102202354) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2011-03-23 |