| NPI | 1831362664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 063044) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301088728) |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2010-02-05 |