| NPI | 1992023444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 126827) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 267536-1) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2014-04-21 |