| NPI | 1407892391 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A89991)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD182673)  | 
| Enumeration Date | 2006-06-21 | 
| Last Update Date | 2019-03-29 |