| NPI | 1184287492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 19997) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT018991) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2023-09-26 |