| NPI | 1366528689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME103998) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN10144) |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2010-07-12 |