| NPI | 1992934384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2013-01384) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2009018160) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2013-07-08 |