| NPI | 1154318582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AK 4916) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 45060) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2013-02-26 |