| NPI | 1386620078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD d0055147) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD33999) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2011-05-31 |