| NPI | 1932269156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C51876) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX D7474) |
| 207P00000X Emergency Medicine (Licence: NM 70-32) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-09-15 |