| NPI | 1750692000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P9737) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018700) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2014-08-26 |