| NPI | 1558317032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C54499) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 227828) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-01-02 |