| NPI | 1568652758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME113943) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2013034092) |
| 207P00000X Emergency Medicine (Licence: IN 01073003A) | |
| 207P00000X Emergency Medicine (Licence: LA MD.203184) | |
| 207P00000X Emergency Medicine (Licence: WV 25854) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-07-19 |