| NPI | 1104245265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 329220) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A137801) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-01-03 |