| NPI | 1407806110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: NC 36179) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 36179) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-10-13 |