| NPI | 1417974957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO R4135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-041772) |
| 207P00000X Emergency Medicine (Licence: KY 30276) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-03-01 |