| NPI | 1124003181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C54510) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 34306) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-11-17 |