| NPI | 1851331961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 42680) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA CAA84003) |
| 207P00000X Emergency Medicine (Licence: FL ME0096000) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2010-01-27 |