| NPI | 1306057708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME 109979) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 060742) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2012-04-19 |