| NPI | 1295700482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101252749) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME92659) |
| 207P00000X Emergency Medicine (Licence: PA MD429320) | |
| 207P00000X Emergency Medicine (Licence: PR 15098) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2012-10-05 |