| NPI | 1194917419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 058326) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2009-01032) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2009-08-12 |