| NPI | 1598714404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IA 36635) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NE 23359) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OH 35-085058) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VT 042-0011037) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WA MD00045332) | |
| 207P00000X Emergency Medicine (Licence: CO 45391) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2013-08-16 |