| NPI | 1285163931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A186094) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 70105) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-10-05 |