| NPI | 1053603068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C191782) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 287928) |
| 207P00000X Emergency Medicine (Licence: MD D0079565) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2023-12-21 |