| NPI | 1407882087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 32212-021) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: WI 32212-21) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2013-03-07 |