| NPI | 1740220326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 18739) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 39201) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-11-30 |