| NPI | 1245442839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2010003397) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101016909) |
| 207P00000X Emergency Medicine (Licence: CA 20A16585) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2018-07-24 |