| NPI | 1710121744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A111665) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01066794A) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2012-06-25 |