| NPI | 1851342604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 35503) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 46792) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-05-29 |