| NPI | 1508034356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME113174) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301090686) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2013-06-17 |