| NPI | 1851550123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-16584) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 263854-1) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2012-07-16 |