| NPI | 1679621411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 082130) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2009-00610) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-08-30 |