| NPI | 1104888999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME92428) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E4472) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2009-10-27 |