| NPI | 1053549212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME133941) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A120516) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2023-10-26 |