| NPI | 1962728709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.32631) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.32631) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2015-12-11 |