| NPI | 1902126808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 054372) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 254197) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2015-07-24 |