| NPI | 1720031925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 160859) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 40008) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-04-23 |