| NPI | 1750379970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 0042132-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G48641) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2011-06-23 |