| NPI | 1962607598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2010004185) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101016987) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2014-10-24 |