| NPI | 1467635508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G57949) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-04-04 |