| NPI | 1568828275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA a191421) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA HS000239L) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2026-02-09 |