| NPI | 1871733949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A103310) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2012-0673) |
| 207P00000X Emergency Medicine (Licence: AK 7192) | |
| 207P00000X Emergency Medicine (Licence: UT 7986492-1205) | |
| 207P00000X Emergency Medicine (Licence: WY 53881) | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2013-06-27 |