| NPI | 1568875805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A148740) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301105711) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2023-05-30 |