| NPI | 1407870520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: ID M-10641) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD23169) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-05-07 |