| NPI | 1215910682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A76419) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CA A76419) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2007-07-08 |