| NPI | 1831150853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G34363) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 41264) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-01-12 |