| NPI | 1346530540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 60220347) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A108237) |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2022-08-15 |