| NPI | 1063692978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.126140) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.009408) |
| 207P00000X Emergency Medicine (Licence: WI 54288-21) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2012-09-18 |