| NPI | 1164409793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J2767) |
| Additional Taxonomies | 207PT0002X Emergency Medicine Medical Toxicology (Licence: TX J2767) |
| 207R00000X Internal Medicine (Licence: TX J2767) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2010-05-12 |