| NPI | 1992966832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 101249464) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME 120173) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-08-04 |