| NPI | 1467625004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M9704) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125050038) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2011-01-19 |