| NPI | 1629538418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: TX V4672) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A184777) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-09-11 |