| NPI | 1083877930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2012-01271) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 254405) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2015-01-13 |