| NPI | 1356568984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA A42140) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A42140) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-08-13 |