| NPI | 1285760611 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 21259) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A105102) | 
| 207P00000X Emergency Medicine (Licence: MA L-228553) | |
| Enumeration Date | 2007-02-27 | 
| Last Update Date | 2021-03-05 |