| NPI | 1831462118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A126201) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 271454) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2013-08-06 |