| NPI | 1053410936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WV 15141) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 15141) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2009-08-20 |