| NPI | 1639517675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A149256) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 56235) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-07-21 |