| NPI | 1447231220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G58193) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-03-25 |