| NPI | 1033174784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A91286) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 236525-1) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-10-16 |