| NPI | 1033136098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301078152) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301078152) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 4301078152) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-11-16 |