| NPI | 1831532720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 056148) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 266224) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2017-05-10 |