| NPI | 1619048329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301071795) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 71795) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-01-04 |