| NPI | 1073569026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C55590) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 78446) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-05-24 |