| NPI | 1518178011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CO 46221) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-049393) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2009-03-12 |