| NPI | 1154367118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00035912) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G063415) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-06-17 |