| NPI | 1710281258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C53978) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 156538) |
| Enumeration Date | 2010-12-24 |
| Last Update Date | 2010-12-24 |