| NPI | 1134230717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 52592) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2006-0278) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-07-14 |