| NPI | 1588893374 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 53530) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A126859) | 
| 207V00000X Obstetrics & Gynecology (Licence: AZ R71632) | |
| Enumeration Date | 2009-07-14 | 
| Last Update Date | 2021-12-17 |