| NPI | 1982666574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: UT 343284-1204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 343284-1204) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: UT 343284-1204) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2010-05-28 |