| NPI | 1043258759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301078436) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 35769) |
| 207P00000X Emergency Medicine (Licence: CA C53679) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-06-26 |