| NPI | 1104192202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A145072) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301107043) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2017-01-17 |