| NPI | 1306474614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A199534) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 333607) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-03-19 |