| NPI | 1194716795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 151704) |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: MA 151704) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-08 |