| NPI | 1083889281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P0874) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036119370) |
| 207P00000X Emergency Medicine (Licence: NY 248651) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2015-01-02 |