| NPI | 1124285895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N4075) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-051448) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2012-02-01 |