| NPI | 1356439582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 193200000X Multi-Specialty (Licence: MI SA0250385) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301059413) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-11-20 |