| NPI | 1376748970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C138341) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C7-0003795) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2021-07-13 |