| NPI | 1215911409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 426259) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 105977) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2008-03-05 |