| NPI | 1477711653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: UT 5082124-1204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT012356) |
| 207P00000X Emergency Medicine (Licence: MD H0072507) | |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2014-08-21 |