| NPI | 1396826442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101243471) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME EC-05-46) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-09-15 |