| NPI | 1932292448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD26151) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 2003-0656) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |