| NPI | 1538320874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A12074) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT012685) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-11-30 |