| NPI | 1629117668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 183397) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 2006-0247) |
| 207P00000X Emergency Medicine (Licence: OR MD28957) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-09-19 |