| NPI | 1649484890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D67763) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD432497) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-12-04 |