| NPI | 1508844457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 22891) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 48947) |
| 207P00000X Emergency Medicine (Licence: NE 13277) | |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2008-08-27 |