| NPI | 1760490916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 22745) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2003-00680) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-03-30 |