| NPI | 1013199728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A101469) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N6967) |
| 207P00000X Emergency Medicine (Licence: MD D0080224) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2015-08-24 |