| NPI | 1528152071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR 174485) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2007008856) |
| 207P00000X Emergency Medicine (Licence: CA C130549) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-10-12 |