| NPI | 1063624146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60082286) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 47076) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-07-28 |