| NPI | 1790774776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2005021691) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: DE C1-0006172) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-04-17 |