| NPI | 1184634909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0102203009) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 0090-00857) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-01-05 |