| NPI | 1649220955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 159223) |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: MA 159223) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |