| NPI | 1518297753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 005338) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A18856) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2025-11-06 |