| NPI | 1558688861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A151091) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT196762) |
| 207P00000X Emergency Medicine (Licence: DC MD041372) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2018-01-24 |