| NPI | 1598851636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: GA 038570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 038570) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |