| NPI | 1720267495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A110037) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10021595) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2010-07-06 |