| NPI | 1669443511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A108213) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 34383) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2019-05-13 |