| NPI | 1538258041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 25968) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SD 1233) |
| 207P00000X Emergency Medicine (Licence: NE 17716) | |
| 207P00000X Emergency Medicine (Licence: ND 6429) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |