| NPI | 1760683825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME106126) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN11009) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2012-07-20 |