| NPI | 1295030831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 0052636) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A115247) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2014-04-15 |