| NPI | 1063601318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 31105) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 57-013521) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2011-08-12 |