| NPI | 1609847292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME79093) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL 194584) |
| 207P00000X Emergency Medicine (Licence: NY 214121-1) | |
| 207P00000X Emergency Medicine (Licence: GA 045065) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2010-08-10 |