| NPI | 1336634070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 19565) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101025461) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-12-28 |