| NPI | 1558557637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 600959194) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A101279) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2010-02-01 |