| NPI | 1841296258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.207581) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 10292) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-04-16 |