| NPI | 1376038232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A20177) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151010532) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2023-07-18 |