| NPI | 1417909573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A70084) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD.MD.70009502) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2026-07-29 |