| NPI | 1558393678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A10369) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 51010155775) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-10-07 |