| NPI | 1598896581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A92669) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 6465919-1205) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-04-17 |