| NPI | 1457571101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR 4301084090) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MI 4301084090) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-06-10 |