| NPI | 1730359977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD204137) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 28288) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2011-09-09 |