| NPI | 1639109267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NH 15691) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: ME 014658) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-11-28 |