| NPI | 1265641864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MN 107319) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 7870A) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-12-26 |