| NPI | 1205818077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO R9319) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 422419) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-07-08 |