| NPI | 1518993179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0101240797) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD25329) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-09-10 |