| NPI | 1083668198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 96542) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200501098) |
| 207P00000X Emergency Medicine (Licence: PR 14715) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-08 |