| NPI | 1750307294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AK 5851) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AK 3906) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-01-25 |