| NPI | 1134121684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301091124) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD059163L) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2008-01-23 |