| NPI | 1316962152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 32502) |
| Additional Taxonomies | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: KY 32502) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-04-14 |