| NPI | 1891925566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 69612) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018402) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2015-02-12 |