| NPI | 1477666881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: ND 12342) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35084908) |
| 207P00000X Emergency Medicine (Licence: IA 38293) | |
| 207P00000X Emergency Medicine (Licence: ND 12342) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-12-26 |