| NPI | 1518040260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301072740) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301072740) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-05-29 |