| NPI | 1609220508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-14629) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A151129) |
| 207P00000X Emergency Medicine (Licence: OR MD192452) | |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2020-02-10 |