| NPI | 1578588000 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME96476) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 057071) | 
| 207P00000X Emergency Medicine (Licence: MD D64492) | |
| Enumeration Date | 2006-07-13 | 
| Last Update Date | 2009-04-17 |