| NPI | 1932465408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 54145) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.125698) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2015-06-30 |