| NPI | 1598179400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A169206) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME132810) |
| 207P00000X Emergency Medicine (Licence: IL 125064962) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2021-02-23 |