| NPI | 1417247537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A13902) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019330) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2021-11-04 |