| NPI | 1477754943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 55020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 45715) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: WI 55020) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-05-09 |