| NPI | 1811190556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2009-01288) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-051-386) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2009-07-30 |