| NPI | 1184120412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61687101) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A179427) |
| 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-165945) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2026-01-20 |