| NPI | 1356306229 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 70044)  | 
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MD D56266)  | 
| Enumeration Date | 2006-04-20 | 
| Last Update Date | 2013-08-27 |