| NPI | 1962660720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2011-00942) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 062250) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2015-02-25 |