| NPI | 1548468812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 56129) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA a106731) |
| 207P00000X Emergency Medicine (Licence: WI 60023-20) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2015-01-16 |