| NPI | 1073690426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0011551) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME 017053) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-10-01 |