| NPI | 1073560652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 18383) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 35942) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2014-08-05 |