| NPI | 1104082999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301099322) |
| Additional Taxonomies | 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: MI 4301099322) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2012-04-23 |