| NPI | 1902061351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 8023168-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R70594) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2016-08-09 |