| NPI | 1033143698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME108400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 308319) |
| 207P00000X Emergency Medicine (Licence: NC 200500042) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NC 200500042) | |
| 207PS0010X Emergency Medicine, Sports Medicine (Licence: NC 200500042) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-08-13 |