| NPI | 1811182421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 061170) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 128360) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2009-08-12 |