| NPI | 1174541866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A9608) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV DO1396) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-12-10 |