| NPI | 1336185362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 073150) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 35905) |
| 207P00000X Emergency Medicine (Licence: NE 23512) | |
| 207P00000X Emergency Medicine (Licence: WI 39266) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2013-03-25 |