| NPI | 1255304408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 6210980-8905) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 33276) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |