| NPI | 1265617039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME112862) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 002725) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2012-11-08 |