| NPI | 1336883255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A25160) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2025-00245) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2026-04-08 |