| NPI | 1902975469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 25875) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2009-01174) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-02-25 |