| NPI | 1982012316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A154933) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 50460) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2018-07-19 |