| NPI | 1851501548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A103145) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301085602) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-01-03 |