| NPI | 1063614972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C1-0009001) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0068959) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2014-07-03 |