| NPI | 1316137268 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A109947)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 13256)  | 
| Enumeration Date | 2007-07-26 | 
| Last Update Date | 2018-03-17 |