| NPI | 1679790612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C145558) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 059165) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-08-21 |