| NPI | 1114211141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 298065) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A122798) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2019-07-02 |