| NPI | 1134165442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD 4569) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: SD 4569) |
| 207R00000X Internal Medicine (Licence: SD 4569) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-03-15 |