| NPI | 1154987329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A21150) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI C191E06S) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2023-06-07 |