| NPI | 1245241991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A87698) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 30305) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-11-10 |