| NPI | 1235175456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A89428) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 38040) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AZ 38040) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-02-07 |