| NPI | 1689615908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 167951) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L8972) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-12-05 |