| NPI | 1124361464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 255447) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C175178) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2022-07-11 |