| NPI | 1063610947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD173210) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A106422) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2015-08-12 |