| NPI | 1245286509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101011604) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102203148) |
| 207P00000X Emergency Medicine (Licence: PA OS016514) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-09-05 |