| NPI | 1124087077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 047441) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101235425) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: GA 047441) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2013-09-04 |