| NPI | 1063691806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301086427) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A105142) |
| 207P00000X Emergency Medicine (Licence: NH 14572) | |
| 207P00000X Emergency Medicine (Licence: ME 018427) | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2011-01-26 |