| NPI | 1124225206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 14870) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 232584) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2010-11-17 |