| NPI | 1174539514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 32400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 44616) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-07-14 |