| NPI | 1366637084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 045768) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 243200) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2010-11-18 |