| NPI | 1841207149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: OK 26032) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2004015684) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-12-15 |