| NPI | 1992892269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 062273) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301062273) |
| 208000000X Pediatrics (Licence: MI 4301062273) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-06-19 |