| NPI | 1114243359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 164700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A124737) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2013-04-26 |