| NPI | 1336365311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 24634) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NE 24634) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-02-05 |