| NPI | 1508844200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301052662) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301052662) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 4301052662) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2017-03-01 |