| NPI | 1962681262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI DOS 1531) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 3866) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2015-11-20 |