| NPI | 1164434239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 20830) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 25298) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2013-06-05 |