| NPI | 1497793343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NE 23845) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 38699-020) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-02-19 |