| NPI | 1992068092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 055529) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 252735) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2017-01-06 |