| NPI | 1154772325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C193720) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 301407) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-09-17 |