| NPI | 1184826083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MI 4301086621) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301086621) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2010-11-09 |