| NPI | 1164650784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A137138) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD448914) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2015-06-29 |