| NPI | 1093919300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 32823) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 141156) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2015-06-05 |