| NPI | 1801855218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 34962) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200200627) |
| 207P00000X Emergency Medicine (Licence: FL ME93335) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |