| NPI | 1184764078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C54074) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 9817) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-10-07 |