| NPI | 1992022776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME115260) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN14663) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2013-05-22 |