| NPI | 1093992901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A11132) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OTO11845) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2010-07-14 |