| NPI | 1497729982 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 35627) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 46859) | 
| Enumeration Date | 2006-02-14 | 
| Last Update Date | 2007-10-30 |