| NPI | 1851363048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 151702) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MA 151702) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MA 151702) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2018-06-19 |