| NPI | 1194103358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A159537) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301107239) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2019-06-26 |