| NPI | 1679791305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A84490) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD15391R) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2015-09-04 |