| NPI | 1275883118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A14192) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 2666689) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2022-02-11 |