| NPI | 1114101417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 069840) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301091514) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2013-07-10 |