| NPI | 1548287139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101236119) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 210843) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-07-27 |