| NPI | 1336191667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 38521) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301082121) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-01-27 |