| NPI | 1295831568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301098340) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008077) |
| 207L00000X Anesthesiology (Licence: MI 4301098340) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2012-05-21 |