| NPI | 1588616569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 9500917) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 23329) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-11-09 |