| NPI | 1578096988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A192221) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 306102) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-03-25 |