| NPI | 1073703518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 12615) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2007018006C) |
| 207P00000X Emergency Medicine (Licence: MO 2010011173) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2012-04-02 |