| NPI | 1871989541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 66399-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2018-01694) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2018-06-28 |