| NPI | 1982995890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A13519) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102203213) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2014-10-22 |