| NPI | 1174734487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.092765) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD441599) |
| 207P00000X Emergency Medicine (Licence: CT 49474) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2011-03-03 |