| NPI | 1336467976 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS12083) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL UO2389) | 
| Enumeration Date | 2010-05-06 | 
| Last Update Date | 2013-09-09 |