| NPI | 1043336266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WY 7902A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY TL954) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-01-02 |