| NPI | 1023072956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 354363) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35082906) |
| 207P00000X Emergency Medicine (Licence: NE 25995) | |
| 207P00000X Emergency Medicine (Licence: IA 39330) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2013-04-25 |