| NPI | 1528252319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 100967) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 16872) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2008-03-01 |