| NPI | 1679730055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 127828) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D69085) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2009-05-08 |