| NPI | 1801120027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101018056) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS10549) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |