| NPI | 1013992163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 009801427) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NC 009801427) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2010-08-11 |