| NPI | 1356519250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60075899) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 6851295-1205) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2014-07-29 |