| NPI | 1093753865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME96093) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2004020283) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-09 |