| NPI | 1629271143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A14100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 60877) |
| 207P00000X Emergency Medicine (Licence: OR DO150937) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2018-03-17 |