| NPI | 1245262229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 6623361-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A86767) |
| 207P00000X Emergency Medicine (Licence: UT 6623361-8905) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-05-24 |