| NPI | 1518304252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 22354) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 007101) |
| 207P00000X Emergency Medicine (Licence: OR DO192347) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2024-03-08 |