| NPI | 1649246570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 062132) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 43170) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2009-10-13 |