| NPI | 1205043098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00049401) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-7626) |
| 207P00000X Emergency Medicine (Licence: IA 37696) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-11-30 |