| NPI | 1881915692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME115750) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 15182) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2013-07-11 |