| NPI | 1285676775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P3435) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 03576) |
| 207P00000X Emergency Medicine (Licence: MI 5101017926) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2013-10-01 |