| NPI | 1558386896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX G7695) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-066498) |
| 207P00000X Emergency Medicine (Licence: VT 042-0010141) | |
| 207P00000X Emergency Medicine (Licence: IN 01032953A) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-02-21 |